Doctor insights on:
Losing Bowel Control And Weight Loss In Elderly

1

Disinhibition:
There are various reasons: just as one can be paralyzed and unable to move the muscles of the arm or leg, they may be unable to maintain sphincter control due to muscular weakness. Or they may not be able to feel that they need to evacuate. Or there may be higher cortical disinhibition in which they do socially unacceptable things they would never do if they had their full mental capacity.
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Many people resolve to lose weight in the New Year for different reasons. For those who are overweight or obese, there are many health benefits to losing weight. It can help decrease your chances of developing diseases including diabetes, heart disease, high blood pressure, osteoarthritis, and even certain types of cancer. Low-calorie diets combined with increased physical activity are thought to be most effective long term. The healthiest weight loss regimen, therefore, is one that consists of making lifestyle changes that incorporate a balanced diet and moderate physical activity.
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2

Depends:
Loss of bowel control includes a lot of different patterns, from a little staining from a hemorrhoid to complete loss of bowel control due to sphincter trauma or nerve injury. A little staining now and then is common from prolapsing hemorrhoids or leaking through a small fistula. Major loss of control suggests trauma to the muscles (common after childbirth) or nerve dysfunction.
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6

It happens...:
During orgasm, the pelvic floor muscles contract and relax rapidly. This can override the normal level of tone that the anal sphincter usually maintains. It's usually not a problem. However, if there is some loose stool or a small piece of formed stool in the rectum, it may just come out. Try adding a daily insoluble fiber supplement to your diet, and try moving your bowel sbefore sex if possible.
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7

No:
Prostate surgery can affect the control on your urination but not the bowel. You are young and if you have issues with incontinence then you need an anorectal exam including assessment of your sphincter muscles. Any prior surgeries for hemorrhoids, fissures, and fistulas are important to know. You will need to see a colorectal surgeon for a complete workup and treatment accordingly.
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9

It depends...:
Alcohol is a neurotoxin (poison for the nerves). After chronic use it can affect the small nerves first causing neuropathy in the hands and feet and eventually in other organs. Someone who is a heavy drinker who stops suddenly without being detoxed by a medical professional can have seizures during which there may be incontinence of urine and stool. It would be best that you consult an M.D.
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16

Highly unlikely:
40% of people who are without any symptoms of back pain or anything else have BULGING discs up and down their spines when MRI's are taken of their backs. Could you imagine what sort of problems we'd have if bulging discs could really do all that? I didn't say impossible but I'd want more proof than an MRI to draw those conclusions.
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19

Yes it is:
When one is extremely frightened, one can have sudden diarrhea stools or lose control of bowel. In a sense your body gets rid of bowel contents so you can run or fight with less distraction. This response happens in other animals too. Witness horses who suddenly come upon a bear, etc. It can happen with soldiers on battlefields too.
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20

Mainly no:
Most people will not lose control of bladder or bowel during or after general anesthesia. If someone did have poor control, also known as incontinence, then its possible that could happen during of after the surgery. Many times a Foley (a catheter placed into the bladder) is performed to empty the bladder during the operation.
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21

Possibly:
The mind and gut share many chemical transmitters, often being nervous can cause diarrhea, or gas from swallowed air. Many other conditions can cause gas such as constipation, lactose intolerance, parasitic infections and celiac disease. You should get checked out by your doctor and see if they need to run any tests.
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24

Prob not:
There really should be no negative affect between exercise and bowel control. Many body builders use high proteinshakes/bars etc and these can cause loose bowels but still should not have any issue with control. Control issues may be with nerves or rectal muscle weakness. U should see medical doctor to discuss further.
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27

Recurrence:
There is a high rate of recurrence after the delorme procedure, although it is a good way to avoid a major abdominal operation with less risk of complications. Discuss this with your colorectal surgeon, as you may benefit from other options if you have no major medical problems. Recurrences happen after "perineal" approaches like the delorme procedure more often than "transabdominal" approaches.
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29

See your CR surgeon:
Sorry to hear this. This is too complex to adequately discuss in this forum, so please make contact with your colorectal surgeon immediately and schedule a consultation. Recruit the help of your primary physician if necessary to make said appointment. Good luck.
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30

Variable:
I am not sure what your question means. Damage to the anal sphincter from something like episiotomy from childbirth can cause difficult to control bowel function and loose bowels or bowel leakage. The other condition can be constipation making bowel function decreased. Inflamed intestinal conditions can also cause diarrhea issues and bowel control problems. Hemorrhoids can also cause some issues..
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Many people resolve to lose weight in the New Year for different reasons. For those who are overweight or obese, there are many health benefits to losing weight. It can help decrease your chances of developing diseases including diabetes, heart disease, high blood pressure, osteoarthritis, and even certain types of cancer. Low-calorie diets combined with increased physical activity are thought to be most effective long term. The healthiest weight loss regimen, therefore, is one that consists of making lifestyle changes that incorporate a balanced diet and moderate physical activity.
...Read more

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten goes on long journey.
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